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GEMost people think the reaction comes from putting the needle in.
It doesn’t always.
Insertion places the needle in the tissue.
Often nothing really changes until it’s rotated.
The twist increases sensory input to the nervous system.
That extra signal can trigger reflex responses, twitches, and drops in tone.
That’s why you often see:
nothing… nothing… nothing…
then a small twist and the whole muscle reacts.
It’s not just about “hitting the muscle”.
It’s about giving the nervous system enough input to shift how it’s driving that area.
The needle is the tool.
The nervous system is the target.
@georgethephysio
